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Beyond weight loss: How metabolism in human adipocytes is shaped by GLP-1R agonists and dual GIPR/GLP-1R agonists.

Curto R, Giglione C, Cannarella R, et al. Pharmacological research. 2026.
MixedReviewMentions: Tirzepatide

Editor's note

A narrative review of preclinical adipocyte biology for GLP-1R and dual GIPR/GLP-1R agonists, with tirzepatide as the named dual agonist. It synthesizes mechanism-level animal and in vitro findings rather than clinical outcomes, and the authors themselves flag that these models may not translate to human adipose tissue. Readers can read it as background on possible tissue-level mechanisms, not as clinical evidence.

Plain-language abstract

This narrative review summarizes preclinical evidence on how GLP-1 receptor agonists and the dual GIP/GLP-1 agonist tirzepatide act on fat cells, beyond their weight-loss effects. The authors note that most mechanistic data come from animal or in vitro models and call for more work in human-derived cells.